<include file="./Application/Home/View/default/Public/header.html"/>
<div id="header"></div>
<div id="children-form" class="children-form body-margin">
    <div class="container">

        <div class="row">

            <div class="col-md-10 col-md-offset-1 form-body">

                <div class="alert alert-success alert-dismissible fade in order-info-alert" role="alert"
                     style="display:none;">
                    <button type="button" class="close" data-dismiss="alert" aria-label="Close">
                        <span aria-hidden="true">×</span>
                    </button>
                    <strong>离发布订单只差一步!</strong>
                    保存个人信息成功,请填写您对教员的要求.
                </div>

                <div class="form-body-content container">

                    <div class="form-header text-center">
                        <p class="heading"></p>
                        <span class="subheading">更完备的学员信息 有助于匹配到适合的老师</span>
                    </div>

                    <hr>

                    <div class="form">
                        <form  method="post">
                        <div id="parent_edit">
                            <div class="item children-basics-edit" style="display: block;">
                                <p style="color:#777;">(带&nbsp;<span class="must-fill">*</span>的均是必填项，我们期待听到您的声音)</p>

                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="parent_name">
                                            学生姓名
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="name" required=""></div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="gender">
                                            性别
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <label class="radio-inline">
                                            <input type="radio" name="sex" value="1" checked="">男</label>
                                        <label class="radio-inline">
                                            <input type="radio" name="sex" value="2">女</label>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="address">
                                            小区地址
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="address" id="address" required=""
                                               maxlength="100" value="" placeholder="具体到小区名称或标志性建筑名称即可"></div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="price">
                                            单价/小时
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="price" id="price" required=""
                                               maxlength="100" value="" placeholder="100"></div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="lesson">
                                            科目
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="lesson" id="lesson" required=""
                                               maxlength="100" value="" placeholder="科目"></div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="grade">
                                            年级
                                            <span class="must-fill">*</span>
                                        </label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="grade" id="grade" required=""
                                               maxlength="30" value="" placeholder="若暑假期间授课，需选择升学后的年级"></div>
                                </div>

                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="score">在校成绩</label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="score" id="score"
                                               maxlength="200" placeholder="请描述孩子在学校的成绩/排名水平" value=""></div>
                                </div>
                                <div class="row">
                                    <div class="col-md-3">
                                        <label class="control-label" for="character">孩子的性格</label>
                                    </div>
                                    <div class="col-md-9">
                                        <input class="form-control" type="text" name="character" id="character"
                                               placeholder="例如：幼稚调皮，阳光外向，内向害羞等" maxlength="100" value=""></div>
                                </div>
                                <div class="item" style="padding-left: 0;">
                                    <button class="btn btn-primary my-style btn-lg" type="submit">发布</button>
                                    <div>{$error}</div>
                                </div>
                            </div>
                        </div>
                        </form>
                     </div>
                </div>
            </div>
        </div>
    </div>
</div>
<include file="./Application/Home/View/default/public/footer.html"/>
</body>
</html>
